Evidence map›Paper›PMID 34172583›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2021

Antitumor efficacy and reduced toxicity using an anti-CD137 Probody therapeutic.

Iñaki Etxeberria, Elixabet Bolaños, Alvaro Teijeira, Saray Garasa, Alba Yanguas, Arantza Azpilikueta, William M Kavanaugh, Olga Vasiljeva, Marcia Belvin, Bruce Howng and 14 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Article
  3. Design and Characterization of Prodrugged Anti-CTLA-4 Antibodies.Chembiochem : a European journal of chemical biology · 2025
    Article
  4. Article
  5. Article
  6. CD137-expressing regulatory T cells in cancer and autoimmune diseases.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  7. CD8Nature communications · 2024
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Targeting Co-Stimulatory Receptors of the TNF Superfamily for Cancer Immunotherapy.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2023
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors at 4 institutions in 2 countries.

Iñaki EtxeberriaProgram of Immunology and Immunotherapy, Center for Applied Medical Research (CIMA), Universidad de Navarra, 31008 Pamplona, Spain.ORCID 0000-0003-2713-0836
Elixabet BolañosProgram of Immunology and Immunotherapy, Center for Applied Medical Research (CIMA), Universidad de Navarra, 31008 Pamplona, Spain.ORCID 0000-0003-3780-9244
Alvaro TeijeiraProgram of Immunology and Immunotherapy, Center for Applied Medical Research (CIMA), Universidad de Navarra, 31008 Pamplona, Spain.ORCID 0000-0002-7339-4464
Saray GarasaProgram of Immunology and Immunotherapy, Center for Applied Medical Research (CIMA), Universidad de Navarra, 31008 Pamplona, Spain.ORCID 0000-0001-5192-2599
Alba YanguasProgram of Immunology and Immunotherapy, Center for Applied Medical Research (CIMA), Universidad de Navarra, 31008 Pamplona, Spain.
Arantza AzpilikuetaProgram of Immunology and Immunotherapy, Center for Applied Medical Research (CIMA), Universidad de Navarra, 31008 Pamplona, Spain.
William M KavanaughCytomX Therapeutics, Inc., South San Francisco, CA 94080.
Olga VasiljevaCytomX Therapeutics, Inc., South San Francisco, CA 94080.ORCID 0000-0003-3648-5460
Marcia BelvinCytomX Therapeutics, Inc., South San Francisco, CA 94080.
Bruce HowngCytomX Therapeutics, Inc., South San Francisco, CA 94080.
Bryan IrvingCytomX Therapeutics, Inc., South San Francisco, CA 94080.ORCID 0000-0002-5093-013X
Kimberly TiptonCytomX Therapeutics, Inc., South San Francisco, CA 94080.
James WestCytomX Therapeutics, Inc., South San Francisco, CA 94080.
Li MeiCytomX Therapeutics, Inc., South San Francisco, CA 94080.
Alan J KormanVir Biotechnology, San Francisco, CA 94158.ORCID 0000-0002-1142-8542
Emanuela SegaImmuno-Oncology Discovery, Bristol-Myers Squibb, Redwood City, CA 94063.
Irene OliveraProgram of Immunology and Immunotherapy, Center for Applied Medical Research (CIMA), Universidad de Navarra, 31008 Pamplona, Spain.ORCID 0000-0001-5594-2343
Assunta CirellaProgram of Immunology and Immunotherapy, Center for Applied Medical Research (CIMA), Universidad de Navarra, 31008 Pamplona, Spain.ORCID 0000-0001-8493-7113
Maria C OchoaProgram of Immunology and Immunotherapy, Center for Applied Medical Research (CIMA), Universidad de Navarra, 31008 Pamplona, Spain.ORCID 0000-0001-9920-2144
Maria E RodriguezProgram of Immunology and Immunotherapy, Center for Applied Medical Research (CIMA), Universidad de Navarra, 31008 Pamplona, Spain.ORCID 0000-0002-9765-2499
Ana MeleroProgram of Immunology and Immunotherapy, Center for Applied Medical Research (CIMA), Universidad de Navarra, 31008 Pamplona, Spain.
Miguel F SanmamedProgram of Immunology and Immunotherapy, Center for Applied Medical Research (CIMA), Universidad de Navarra, 31008 Pamplona, Spain.
John J EngelhardtImmuno-Oncology Discovery, Bristol-Myers Squibb, Redwood City, CA 94063.
Ignacio MeleroProgram of Immunology and Immunotherapy, Center for Applied Medical Research (CIMA), Universidad de Navarra, 31008 Pamplona, Spain; imelero@unav.es.ORCID 0000-0002-1360-348X
Centro de Investigación Biomédica en Red de Cáncer · ESCytomX Therapeutics (United States) · USClinica Universidad de Navarra · ESBristol-Myers Squibb (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Costimulation via CD137 (4-1BB) enhances antitumor immunity mediated by cytotoxic T lymphocytes. Anti-CD137 agonist antibodies elicit mild liver inflammation in mice, and the maximum tolerated dose of Urelumab, an anti-human CD137 agonist monoclonal antibody, in the clinic was defined by liver inflammation-related side effects. A protease-activated prodrug form of the anti-mouse CD137 agonist antibody 1D8 (1D8 Probody therapeutic, Pb-Tx) was constructed and found to be selectively activated in the tumor microenvironment. This construct, which encompasses a protease-cleavable linker holding in place a peptide that masks the antigen binding site, exerted antitumor effects comparable to the unmodified antibody but did not result in liver inflammation. Moreover, it efficaciously synergized with both PD-1 blockade and adoptive T-cell therapy. Surprisingly, minimal active Pb-Tx reached tumor-draining lymph nodes, and regional lymphadenectomy did not abrogate antitumor efficacy. By contrast, S1P receptor-dependent recirculation of T cells was absolutely required for efficacy. The preferential cleavage of the anti-CD137 Pb-Tx by tumor proteases offers multiple therapeutic opportunities, including neoadjuvant therapy, as shown by experiments in which the Pb-Tx is given prior to surgery to avoid spontaneous metastases.

Indexed as

AnimalsAntibodies, MonoclonalAntineoplastic AgentsCell Line, TumorHumansImmunotherapyInflammationLiverLung NeoplasmsLymph NodesMiceNeoadjuvant TherapyPeptide HydrolasesTumor Necrosis Factor Receptor Superfamily, Member 9Antibodies, MonoclonalAntineoplastic AgentsPeptide HydrolasesTumor Necrosis Factor Receptor Superfamily, Member 94-1BBcancer immunotherapyCD137Probody

Identifiers

PMID34172583
PMCPMC8255787
OpenAlexW3173461290

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.